23: A New Kind of Doctor Patient Relationship with Dr. Nick

Released Wednesday, 7th August 2019
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Summary

Dr Nick holds an MD degree and is a board certified primary care physician who practices in Colorado and consults patients via telemedicine throughout the United States.
His view of healthcare and modern doctor-patient relationships is a much needed breath of fresh air for an already stale model of sick-care.

Actionable Steps

  1. Only change as many habits as you feel you can sustain for any given time.
  2. You lose fat in the kitchen and you gain muscle in the gym.
  3. Study how you eat. And most importantly, the motivations behind how you are eating.

Show Notes

[00:03:48] Continuity of care is very important for Dr. Nick as a physician and the reason he went into family medicine.
 [00:04:09] Seeing the changes that can be accomplished by patients when they act as a unit with their doctors is only possible when there's trust and a solid relationship between doctor and patient.
[00:04:50] Many Americans use Urgent Care as their primary care and that does not allow for a relationship to be built.
[00:06:14] Dr E believes that patients who trust you as a doctor adhere much better to their treatment plans.
[00:06:47] Dr Nick will not prescribe anything to his patients without them fully understanding the reasoning behind that prescription.
[00:08:02] Encouraging patients to disagree with you as a doctor is a way to ensure buy-in, compliance and adherence to treatments.
[00:09:03] Dr E thinks that as doctors we need to disclose what we think is the best course of action but always leave a door open to discussion with our patients.
[00:09:59] The three conditions to select treatments are:
Ensure that the treatment is proven safe and effective
Incorporate learnings from your own clinical experience and expertise
Consider patient preferences.
[00:10:58] If a patient does not like a course of action, it does not matter how much you insist, they will probably not follow it.
[00:12:43] Without patient buy-in they will not follow the treatment and you will become frustrated and not be able to help them.
[00:13:54] As a physician, it is very important to go where patients are. And that includes social media which is why Dr Nick is so active on Instagram.
[00:14:47] Dr Nick understands that patients will come to his office have searched their symptoms and gotten information from usually unreliable sources.
[00:14:59] Instagram profiles that Dr Nick recommends:
[00:15:22] Although social media followers are not Dr Nick's patients, he feels it is his role to help them from a health, fitness, nutrition and mindset aspects.
[00:16:00] Dr E notes that these doctor influencers not only preach but actually follow the lifestyle they recommend.
[00:17:43] Patients notice when their doctors are clearly not following themselves the advice they give out. And that shatters any notion of trust between them.
[00:19:22] Doctors and health professionals should be health educators first and health "fixers" second.
[00:20:34] Your doctor is not only responsible for your health but for the health of the community.
[00:21:30] Health professionals need to give a better example of ideal health. And we need to be very vocal about it.
[00:22:45] If doctors don't go out and educate the public, any other YouTuber will. Or they will be educated by the ads that food companies put out.
[00:24:00] We live in an obesogenic society according to Dr Nick.
[00:25:27] As consumers, we need to let companies know that they need to start putting out better products. We let them know by not buying the garbage they currently produce.
[00:28:00] Actionable advice
[00:29:58] Being dehydrated can trigger hunger because your body knows that there's water in foods.
[00:31:20] There are several benefits to working out in the gym, but it is not the way to lose excess body fat.
[00:33:47] If your goal is to lose body fat, you do that in the kitchen, not in the gym.
[00:34:06] But you can only increase your metabolism in the gym. By lifting weights.
[00:35:51] How to work with Dr Nick
[00:39:10] You need to choose your doctor based on the trust they inspire you.

Complete Show Notes

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